Provider Demographics
NPI:1760443030
Name:LUCATORTO, ANTHONY JOSEPH (DO)
Entity type:Individual
Prefix:DR
First Name:ANTHONY
Middle Name:JOSEPH
Last Name:LUCATORTO
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:28 BOWLING GREEN PARKWAY
Mailing Address - Street 2:SUITE LL3
Mailing Address - City:LAKE HOPATCONG
Mailing Address - State:NJ
Mailing Address - Zip Code:07849-2445
Mailing Address - Country:US
Mailing Address - Phone:973-663-8899
Mailing Address - Fax:973-663-9511
Practice Address - Street 1:28 BOWLING GREEN PARKWAY
Practice Address - Street 2:SUITE LL3
Practice Address - City:LAKE HOPATCONG
Practice Address - State:NJ
Practice Address - Zip Code:07849-2445
Practice Address - Country:US
Practice Address - Phone:973-214-8679
Practice Address - Fax:973-663-9511
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-28
Last Update Date:2024-09-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MB06095000207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJP376680OtherOXFORD HEALTH PLAN ID
NJ0811246000OtherAMERIHEALTH HMO
NJ200563432OtherBCBS FEDERAL EMPLOYEE
NJ000786118OtherHIGHMARK BLUE SHIELD ID
NJ200563432OtherUNITED HEALTHCARE ID
NJ200563432OtherQUALCARE PPO HMO ID
NJ2355303001OtherAMERIHEALTH HMO
NJP376680OtherOXFORD HEALTH PLAN ID
NJ200563432OtherUNITED HEALTHCARE ID
NJP00257832DD8843Medicare ID - Type UnspecifiedRAILROAD MEDICARE